NPIMap

Individual provider Active NPI

Samip Jayantilal Borad, M.B.B.S., MD, MHA

  • Neurology Physician
  • Lake Mary, FL
National Provider Identifier
1033353081
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME155726 Issued in FL
Practice address
755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone
(407) 333-1718
NPI assigned
Apr 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 0116022715 VA
Neurology Physician 2084N0400X 25730 WV
Student in an Organized Health Care Education/Training Program 390200000X NC
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME155726 FL Primary

Addresses

Primary practice location

755 Stirling Center PL
Lake Mary, FL 32746-5714

Mailing address

755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone (407) 333-1718

Other practice location 1

415 Morris St
Suite 300
Charleston, WV 25301-1842
Phone (304) 388-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140807000388 WV Practitioner - Neurology 6901046200 Reassigns benefits to 1 organization
I20220517003068 FL Practitioner - Neurology 6901046200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Wake Forest University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Neurology PAGroup PAC ID 1355390600, 6 clinicians

Practice addresses (Care Compare)

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

755 Stirling Ctr PL
Lake Mary, FL 32746-5714
Phone (407) 333-1718

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
83.34

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME155726FLMDNeurology Physician
0116022715VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Charleston Area Medical Center Inc Single Specialty CurrentSince Oct 20, 2014 Accepting new patients
Florida Neurology PA Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Charleston Area Medical Center, Inc. Single Specialty CurrentSince Oct 20, 2014 Accepting new patients

Locations

755 Stirling Center Pl
Lake Mary, FL 32746
Phone (407) 333-1718

2710 Dora Ave
Tavares, FL 32778
Phone (352) 508-5076

415 Morris St
Ste 309
Charleston, WV 25301
Phone (304) 348-3290

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

415 Morris St
Ste 300
Charleston, WV 25301
Phone (304) 345-6303

3703 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEGJDD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/OOz5hkiC68x4B2tV8TWG2SVCrgoGQtPF/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1033353081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-333-1718",
            "fax_number": "407-333-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-333-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Morris St",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011842",
            "country_code": "US",
            "telephone_number": "304-388-6441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORAD",
        "first_name": "SAMIP",
        "middle_name": "JAYANTILAL",
        "credential": "M.B.B.S., MD, MHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022715",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WV",
            "license": "25730",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME155726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.